Cardiology Connect

1
Cardiology Connect

• Modern Cardiology
• at Watford for West Herts
• David Hackett
• Consultant Cardiologist at
• West Herts Hospitals NHS Trust
• 16 June 2010

2
WHHT invasive cardiology

• History
• Mobile cath lab at St Albans
• Elective angiography 1993 2004
• Pacemaker implants at Hemel Hempstead
• Main theatres 1993 2004
• Fixed cath lab Hemel Hempstead Apr 2004
• Elective angiography pacemakers April 2004
• In-patient angiography PCI June 2005
• Primary PCI for STEMI June 2006
• Day case elective PCI December 2006

3
Delivering a Healthy Future (DAHF)

• Major redevelopment of Watford Hospital for
  emergency care
• New AAU model of acute care
• Fewer beds
• Cardiac
• CCU Cardiac Ward
• Cath Labs 1?2

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New AAU at Watford

• 120 beds for acute assessment / short stay
• New CT scanner
• New ultrasound machine
• New pharmacy
• Relocation of cardiac catheterisation laboratory
  service from Hemel Hempstead
• Two new cardiac catheterisation laboratories
• New cardiac ECHO, new cardiac treadmill
• W Herts centre for all devices

5
AAU at Watford
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New AAU at Watford
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New AAU at Watford
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New WHHT Cath Labs
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New WHHT Cath Labs
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New WHHT Cath Labs
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New WHHT Cath Labs
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New WHHT Cath Labs
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New WHHT Cath Labs
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New WHHT Cath Labs
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New WHHT Cath Labs
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New AAU at Watford
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WHHT cath lab activity
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WHHT cath lab PCI activity
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Modern cardiology in WHHT

• Front end
• Cardiology pts managed by cardiologists!
• Twice daily week-end consultant cardiologist
  ward rounds consults
• Acute cardiology pts seen/taken over lt12h
• Procedures
• Adequate cath lab capacity for in-patients
• Prompt referrals treatments
• Discharges
• Twice daily consultant ward rounds

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New cardiology services in WHHT

• New cardiology services 2009
• All PCI procedures
• Complex devices (ICD, CRT)
• Electrophysiology (OPD, ablations) - AWN
• ECHO (3D, TOE, stress, contrast)
• Inherited cardiac diseases (AV)
• Cardiac surgery MDT OP clinics

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West Herts Cardiologists
Hemel Hempstead 1988-
John Bayliss 1988
David Hackett 1992
Masood Khan 2005
Roberto Casula 2000
Watford General 2000-
Andrew Chukwuemeka 2007
Michael van der Watt 2000
Will Wallis 2001
Amanda Varnava 2005
West Herts Cardiology 2009-
Mohamed Amrani 2009
Roland Wenschel 2009
Philip Moore 2009
Anthony Nathan 2009
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Cardiology Connect

• Modern Cardiology
• at Watford for West Herts
• David Hackett
• Consultant Cardiologist at
• West Herts Hospitals NHS Trust
• 16 June 2010